Chazen, Mark D

Chazen, Mark D is an individual health care provider with primary practice located at 3085 Harlem Road Suite 200, Cheektowaga NY 14225-2591. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Chazen, Mark D can be contacted via phone (716) 844-5000.

Contact Information

Primary practice address
3085 Harlem Road Suite 200 Cheektowaga NY 14225-2591
Phone: (716) 844-5000
Fax: (716) 844-5050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 191098 New York
Allopathic & Osteopathic Physicians / Urology 208800000X 191098-1 New York

Profile Details

NPI number 1518931989
LBN Legal business name Chazen, Mark D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Mar 1st, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518931989 NPPES
New York Other 005247231 BLUE CROSS
New York MEDICAID 01739899 BLUE CROSS
New York Other 160985156 BLUE CROSS
New York Other 1908966 BLUE CROSS
New York Other 340013524 BLUE CROSS
New York Other 00010297801 BLUE CROSS
New York Other 1099639 BLUE CROSS

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